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[E. Immunology] E-9



                    Competitively Inhibited Interaction Of Inflammatory


                  Transcription Factors And Importins By Cell-Permeable


                Nuclear Localization Sequence Attenuates The Severity Of


                                                    COVID-19




         Dongho Kim¹, Gyunam Kim¹, Dasom Shin¹, Seokwon Lee¹, Sanghyeon Yu¹, Misuk Baek¹, Jaewook Lee¹,

            Hyemin Yu¹, Joohyun Pi¹, Mingu Kang¹, Jieun Kim¹, Sujeong Kim¹, Eunna Chung¹, Daewoong Jo¹*

                            ¹Immune Disease Team, Cellivery Therapeutics, Inc., Seoul 03929, Korea




        The  worldwide  outbreak  of  coronavirus  disease  19  (COVID-19)  is  caused  by  infection  with  the  severe  acute

        respiratory  syndrome  (SARS)-CoV-2  virus  which  induces  the  excessive  secretion  of  pro-inflammatory  cytokines,
        known as “cytokine storm”. The uncontrolled production of pro-inflammatory cytokine due to SARS-CoV-2 infection

        can be suppressed by regulation of nuclear translocation of inflammation-associated transcription factors (IATFs)
        such as NF-κB, STAT1/3, AP-1 & NFAT. To regulate the nuclear translocation of IATFs, an improved cell-permeable

        nuclear  import  inhibitor  (iCP-NI)  has  been  developed  by  fusing  sequence-optimized  advanced  macromolecule
        transduction domains (aMTDs) and nuclear localization sequence (NLS) originated from human NF-κB. In brief, iCP-

        NI  decreased  lethality  of  RNA  virus  infection  mimetic  pneumonitis  animals  by  reduction  of  the  inflammatory
        cytokines in lungs. iCP-NI also significantly attenuates the severity of the SARS-CoV-2 infected syrian hamster model.

        The reduction of viral replication is proved with quantitative PCR by decreasing the level of RdRp gene (log7.04 vs
        log5.79). Furthermore, the inflammatory cytokine genes are significantly decreased and the lung structures from

        inflammation-mediated  damages  are  protected.  As  a  result,  the  iCP-NI  could  be  developed  as  a  novel  anti-
        inflammatory immune-therapeutic agent for severe inflammatory diseases including COVID-19.
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